INSTRUCTIONS PTSD: Know the warning signs
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PTSD: Know the warning signs
General Purpose: To familiarize the NP with the recognition and treatment of PTSD in primary care settings. Learning Objectives: After reading the preceding article and taking the following test, you will be able to: 1. Discuss the incidence and pathophysiology of PTSD. 2. Describe the symptoms and diagnostic criteria for PTSD. 3. Identify guidelines and options for treating PTSD in primary care settings.
1. PTSD rates in primary care settings are
a. lower than the national rate.
b. the same as the national rate.
c. double the national rate.
d. three times the national rate.
2. Which statement about the incidence of PTSD is true?
a. Women develop PTSD at twice the rate of men.
b. Men develop PTSD at twice the rate of women.
c. Men develop PTSD at three times the rate of women.
d. Men and women develop PTSD at the same rate.
3. All of the following comorbid conditions are often reported with PTSD except
b. cardiovascular disease.
c. gastrointestinal distress.
d. urinary incontinence.
4. Patients with PTSD exhibit alterations in biologic functions of the
a. neurologic, endocrine, and integumentary systems.
b. musculoskeletal, genitourinary, and neurologic systems.
c. immunologic, endocrine, and genitourinary systems.
d. neurologic, endocrine, and immune systems.
5. Specific areas of the brain implicated in PTSD include the
a. temporal lobe.
c. brain stem.
6. To qualify for a PTSD diagnosis, the precipitating traumatic event must have occurred at least
a. 3 months prior to assessment.
b. 6 months prior to assessment.
c. 9 months prior to assessment.
d. 1 year prior to assessment.
7. Which statement about precipitating events for PTSD is true?
a. A traumatic event must be personally experienced to result in PTSD.
b. Assaultive events in childhood are usually repressed and not likely to precipitate PTSD.
c. Ongoing assaultive events are one of the most predictive of PTSD development.
d. Being diagnosed with a life-threatening illness would not precipitate PTSD.
8. Commonly reported PTSD-related psychological symptoms include
a. excessive fatigue.
b. physical restlessness.
c. loss of appetite.
d. mood swings.
9. For patients who have not responded to previously prescribed medications, any of the following combinations may be effective except
a. mood stabilizer + antidepressant.
b. antidepressant + antipsychotic.
c. antipsychotic + sleep medication.
d. antianxiety medication + antidepressant.
10. Which of the following interventions may result in higher remission rates and symptom reduction?
a. medication intervention alone
b. short-term exposure psychotherapy
c. long-term cognitive behavioral psychotherapy
d. psychotherapy in conjunction with medication intervention
11. The PCP might prescribe valproic acid to
a. improve sleep.
b. stabilize mood.
c. reduce nightmares.
d. reduce depression.
12. The PCP might prescribe sertraline to reduce
a. mood lability.
b. comorbid depression.
c. hyperarousal symptoms.
d. psychotic symptoms.
13. Which of the following drugs may be prescribed to reduce nightmares?
14. Examples of hyperarousal symptoms include all except
a. problems falling or staying asleep.
b. problems concentrating.
d. sense of foreshortened future.
15. In order for a diagnosis of PTSD to be made, symptoms must have been present for a minimum of
a. 1 month.
b. 2 months.
c. 3 months.
d. 4 months.
16. Which statement about symptoms required for a diagnosis of PTSD is accurate?
a. The patient must have at least three re-experiencing symptoms.
b. Symptoms may be related to drug or alcohol use.
c. Symptoms must have caused impaired functioning.
d. The patient must be able to clearly recall all aspects of the traumatic event.
17. The NP's role in caring for the PTSD patient in primary care may include all of the following except
a. medical management.
b. acute crisis behavioral management.
c. screening for PTSD.
d. diagnosis of PTSD.